Ygnacio Trinidad Mosquea Farias, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

18-497 Issued in NY

Practice address

811 Pine St FL 2
Brooklyn, NY 11208-5527

Phone

(813) 447-6904

NPI assigned

Dec 17, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1174094031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 PINE ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112085527",
            "telephone_number": "813-447-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 PINE ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112085527",
            "telephone_number": "813-447-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSQUEA FARIAS",
        "first_name": "YGNACIO",
        "middle_name": "TRINIDAD",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NY",
            "license": "18-497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aminah Khadijah Mosley, LMSW
• Chante Malik Mosley
• Michelle Denise Mosley, M.S.ED
• Nicole Dawn Mosley, DPM
• Tanisha Mosley, LMSW
• Clarivel Mosquea
• Amber Moss
• Joyce Moss
• Sorah Moss
• Tanya Moss

• Surgical Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Surgical Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.